Pediatric
Heat-Related Illness
General Pediatric Assessment
Continue Assessment
Go to General Pediatric Assessment
Remove from enviroment
Temperture measurement
(if available)
Remove tight clothing
Passive cooling measures
Symptom Severity
Heat Cramps
Normal to elevated body temp,
weakness, muscle cramping
Heat Exhaustion
Elevated body temp,
cool, moist skin
weakness, anxious tachypnea
Heat Stroke
High body temp >104,
hot, dry skin
hypotension, AMS/coma
PO fluids as tolerated
Monitor and reassess
Active cooling measures
Vascular Access
Continue Assessment
Go to Vascular Access
NS bolus
20 ml/kg IV/IO;
repeat to effect
age appropriate
SBP ≥70 + 2 × Age;
max 60 ml/kg
Cardiac Monitor
Poor
perfusion?
Yes
Airway as indicated
Continue Assessment
Go to Ventilation Management
Altered Mental Status
as indicated
Continue Assessment
Go to Altered Mental Status
Active cooling measures
Vascular Access
Continue Assessment
Go to Vascular Access
NS bolus
20 ml/kg IV/IO;
repeat to effect
age appropriate
SBP ≥70 + 2 × Age;
max 60 ml/kg
Cardiac Monitor
Poor
perfusion?
No
Exit to appropriate
Shock or Trauma
Protocol as indicated
Continue Assessment
Go to Pediatric Shock
Go to General Pediatric Trauma Assessment
Yes
Monitor and reassess
No
Continue General Patient
Care and Transport
Continue Assessment
Go to General Pediatric Assessment